Reimbursement under diagnosis-related groups: the Medicaid experience.
Hellinger, Fred J
Date of Pub
The implementation of the Medicare prospective payment system has sparked the growth of similar Medicaid systems. Eight State
Medicaid agencies now employ a system based on diagnosis-related groups (DRG's), and another four State Medicaid agencies
are planning to implement such systems in the near future. The eight DRG-based systems in existence in 1986 are examined in
this article. Preliminary evidence presented herein indicates that Medicaid DRG-based systems have experienced reduced rates
of increase in expenditures for hospital services and that hospital admission rates have not increased under these systems.
Prospective Payment System : Diagnosis-Related Groups/economics : Hospitalization/economics : Medicaid/organization & administration
: State Government : United States